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The 8 Dimensions
1 Leadership
1.1
Synergy between leadership and High Performance Pharmacy practice
1.2
Definition of a pharmacy leader
1.3
Critical components of leadership
1.4
Assessing the influence of a High Performance Pharmacy leader
1.5
Developing a vision
1.6
The budget
1.7
Pharmacy leaders as opportunists and risk-takers
1.8
Putting it all together
2 Med Prep & Delivery
2.1
Unit-dose distribution system
2.2
Dispensing incorporates machine-readable coding
2.3
Pharmacy oversight of medications in all care locations
2.4
Pharmacy management of investigational medications
2.5
Chemotherapy preparation in pharmacy
2.6
Medication returns managed by pharmacy
2.7
Reconciliation of controlled substance waste
2.8
Dose standardization
2.9
Compounding formulations and protocols
2.10
Management of automated dispensing cabinets
2.11
Appropriate label components and quality
2.12
Safe medication storage
2.13
Pharmacy control of medication transport to point of dispensing
2.14
Integration of distribution and clinical services
2.15
Advanced technician roles
3 Patient Care Services
3.1
Pharmacist-performed medication histories and reconciliation
3.2
Pharmacist role on the patient care team
3.3
Discharge counseling and medication reconciliation
3.4
Patient care rounding
3.5
Mechanism to measure the impact of pharmacists
3.6
Integration of documentation
3.7
Participation on resuscitation teams
3.8
Appropriate anti-infective care services
3.9
Focus on core quality performance measures
3.10
Standard medication administration times
3.11
Patient satisfaction surveys
4 Medication Safety
4.1
Bar Code Medication Administration (BCMA)
4.2
Clinical decision support-based infusion pump technology
4.3
High-alert medication policy
4.4
Safe drug nomenclature
4.5
Use of preprinted order sets
4.6
Computerized prescriber order entry
4.7
Computer decision support
4.8
Availability of patient information
4.9
Pharmacy maintained medication administration record (MAR)
4.10
Elimination of color-coded systems
4.11
Education of allied health professionals on medication safety issues
5 Medication Use Policy
5.1
Effective formulary system
5.2
Active Pharmacy and Therapeutics committee
5.3
Drug shortage systems
5.4
Effective industry representative policies
5.5
Non-formulary medication review
5.6
Resource utilization management
5.7
Technology assessment services
5.8
Forecasting of financial performance
5.9
Medication prescribing policy tools
5.10
Drug information services
5.11
Communication systems
5.12
Dietary supplement (herbal and nutraceutical) policy
5.13
Medication use evaluation
5.14
Medication samples
6 Financial Performance
6.1
Budgeting of pharmaceuticals
6.2
Financial performance monitoring and reporting
6.3
Billing and reimbursement monitoring
6.4
Asset management
6.5
Workload and productivity
6.6
Charge capture
6.7
Indigent care medication program
7 HR Management
7.1
Pharmacist recruitment
7.2
Pharmacist orientation guidelines
7.3
Employee competency and concurrent evaluation
7.4
Social events, employee morale, and recognition
7.5
Pharmacist retention
8 Education
8.1
Community educational seminars
8.2
Interdisciplinary in-services
8.3
Residency training program
8.4
Student clerkship training
8.5
Pharmacy technician training and certification
8.6
Pharmacist continuing education
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